Provider Demographics
NPI:1699097402
Name:WRIGHTON, LAUREN E (PHARMACIST)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:E
Last Name:WRIGHTON
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 BAHIA DR
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-7225
Mailing Address - Country:US
Mailing Address - Phone:850-797-7867
Mailing Address - Fax:
Practice Address - Street 1:200 IRWIN AVE NE
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32548-4435
Practice Address - Country:US
Practice Address - Phone:850-244-7143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-20
Last Update Date:2010-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS43556183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist